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NPI Code Detail

MEDICARE: JENNIFER R ROMERO MD

MEDICARE: JENNIFER R ROMERO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD421212PA

General Provider Information

NPI Number : 1184627879
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER R ROMERO MD
Provider Business Mailing Address
First Line : 3394 SAXONBURG BLVD STE 600
Second Line :
City : GLENSHAW
State : PA
Zip : 15116-3169
Country : US
Telephone Number : 412-767-0707
Fax Number : 412-767-0708
Provider Business Practice Location Address
First Line : 3394 SAXONBURG BLVD
Second Line : SUITE 600
City : GLENSHAW
State : PA
Zip : 15116-3168
Country : US
Telephone Number : 412-767-0707
Fax Number : 412-767-0708
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 10/16/2020

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